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당뇨병환자의 지속적 자가 혈당관리에 따른 혈당조절의 효과
Effects on Glycemic Control by Continuous Self Monitoring of Blood Glucose in Diabetic Patients
장경화 (한강성심병원) 권명순 (한림대학교 의과대학 간호학부)
언어 :
권호 : v.17, no.2, 104-111,
발행일자 : 2010년 12월
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Purpose: To evaluate the effects of continuous self monitoring of blood glucose (SMBG) on glycemic control in diabetic patients. Methods: Among the diabetic patients who visited the department of internal medicine in H hospital from April 1 to October 27 2008, 76 patients were divided into the experimental group (n=39) and control group (n=36). The experimental group was required to measure blood glucose levels at least twice every other day using SMBG; their compliance was aided by weekly telephone reminders for 3 months after discharge. Glycated hemoglobin, fasting blood sugar and postprandial 2 hours glucose level, triglyceride and high density lipoprotein were measured before and after the study. Results: Baseline characteristics were not different between the experimental and control groups. Three months later, there was a significant difference in postprandial glucose between the two groups (t=-2.042, p=.045). Conclusion: There was significant improvement of glycemic control after the use of continuous SMBG, suggesting its value in strict glycemic control and the merit of an aggressive education program.